摘要
目的探讨多排螺旋CT(MSCT)对不典型临床表现急性阑尾炎的诊断价值。方法回顾性分析经手术及病理证实的56例不典型临床表现急性阑尾炎的螺旋CT表现及特征,并与CT平扫病例作比较。结果 56例急性阑尾炎患者中,单纯性阑尾炎6例、化脓性阑尾炎伴阑尾周围炎43例、坏疽伴穿孔性阑尾炎5例、阑尾脓肿2例,有18例阑尾内见粪石。结论 MSCT平扫及图像后处理技术的联合应用能直观地显示阑尾的走行、管壁形态及周围肠系膜渗出情况,准确诊断阑尾炎或者排除阑尾炎的诊断。
Objective To explore multi slice helical CT（MSCT）value to the diagnosis of atypical clinical manifestations of acute appendicitis Methods Confirmed by surgery and pathology were retrospectively analyzed in 56 patients with atypical clinical manifestations of acute appendicitis in the spiral CT manifestations and characteristics,and comparing cases with CT scan. Results Of 56 patients,there were 6 simple acute appendicitis,43 suppurative appendicitis with peri appendiceal inflammation,5 gangrene associated with perforation of appendicitis,2 appendiceal abscess,in which 18 cases had the appendix of intraluminal intestinal stone. Conclusion The images at visual display as well as the tubal morphological and Mesenteric seepage situation around the appendix could be directly displayed on MSCT plain scanning and image processing technique,and can improve the clinical doctors diagnose appendicitis or exclude the diagnosis of appendicitis.
出处
《中国卫生标准管理》
2016年第6期159-161,共3页
China Health Standard Management
